Georreferenciamento, epidemiologia e prevalência dos sintomas dos casos
de febre Chikungunya no Amapá, Brasil
Chikungunya fever; Epidemiology; Geographic mapping; Arboviruses.
Chikungunya fever exhibits a high incidence in various
regions of Brazil, posing a challenge to public health by potentially overburdening
healthcare services and hindering the ability of affected individuals to perform and
maintain work activities. Objective: To analyze the spatial distribution, epidemiology,
and prevalence of signs and symptoms of Chikungunya fever cases in the state of
Amapá. Method: The sample included confirmed and suspected cases of Chikungunya
fever, involving individuals of both sexes and all age groups, residing in the state of
Amapá between 2016 and 2021. Quantitative data were presented in frequency
tables, with measures of mean, standard deviation, and percentages, adopting a 95%
confidence interval. Georeferenced maps were generated using the Quantum
Geographic Information System (QGIS) software. Results: A total of 854 individuals
were included, comprising 482 suspected and 372 confirmed cases. The mean age was
31.8 years, with a predominance of females (55.7%) and 15% having completed
secondary education. Fever, headache, myalgia, back pain, and rash were the most
common symptoms, and only 11.4% required hospitalization. The acute form was the
most frequent clinical presentation, and 56.8% of cases were autochthonous. One
death was attributed to Chikungunya, and three deaths were caused by other reasons.
Among georeferenced cases, 452 were from Macapá, including 264 suspected cases
(59.6 cases/100,000 inhabitants) and 188 confirmed cases (42.4 cases/100,000
inhabitants), while the municipality of Serra do Navio recorded 92 cases, with 28
suspected (599.1 cases/100,000 inhabitants) and 64 confirmed cases (1,369.5
cases/100,000 inhabitants). Conclusion: The predominance of cases among women of
working age, with low educational levels, and residing in urban areas reflects greater
exposure to the vector and inadequacies in vector control. The low hospitalization rate
and favorable case outcomes indicate positive clinical results. However, the higher
prevalence rate in rural areas compared to the capital may be associated with
population, socioeconomic, and environmental factors, underscoring the need for
regionally adapted strategies for Aedes aegypti control and prevention.